I oppose the changes.  The changes that are being proposed are another example of an overly bureaucratic process in our healthcare system.  Additional paperwork takes additional time from the nurse and the physician, which means we are spending less time with the students who need our direct and immediate attention.   The registered nurses role is to help the student remain in the classroom thereby improving their chances for academic success.   Complicating the billing process will add time and money to already congested health care system.  We need DMAS to collaborate with schools not work against us.  I strongly oppose the changes.